Individual
DR. DENNIS KEITH KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.C.S.W.
Contact information
Practice address
5918 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 639-0400
(804) 639-0445
Mailing address
15230 CYPRESS CREEK LN, DOSWELL, VA 23047-2173
(804) 908-5702
(804) 639-0445
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001930
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12148129
UBH
VA
01
—
216011
COMPSYCH
VA
01
—
255019000
MAGELLAN
VA
01
—
288961
ANTHEM
VA
01
—
5586634
AETNA
VA
05
—
8941254
—
VA
Enumeration date
10/19/2006
Last updated
11/25/2014
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